Document Detail


Epidemiology of stillbirth and strategies for its prevention in Vietnam.
MedLine Citation:
PMID:  20553788     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To describe major epidemiologic and placental findings regarding stillbirth in Vietnam. METHODS: A cross-sectional study of all stillbirths in a tertiary referral facility in Ho Chi Minh City, Vietnam, was performed. Detailed examination of each infant, placental pathology, and semi-structured maternal interviews were conducted according to the Perinatal Society of Australia and New Zealand Perinatal Death Classification guidelines. Maternal, fetal, and placental characteristics were examined. RESULTS: Between December 8, 2008, and January 9, 2009, there were 4694 live births and 122 stillbirths at the facility. In total, 107 (87.7%) cases were included in the study. Low education level was associated with a lack of prenatal care; induced abortion accounted for 34.6% of fetal deaths (gender selection was not the reason); 35.5% of infants were born at 22-28 weeks of gestation; 31.8% of stillbirths were small for gestational age; histologic evidence of chorioamnionitis was present in 40.2% of cases. Calcium supplements were less likely to have been taken in cases in which death from hypertension occurred. alpha-Thalassemia was the main cause of fetal hydrops (6.2%). CONCLUSION: Improving access to prenatal care and prenatal calcium and iron supplementation, and screening for congenital abnormalities and alpha-thalassemia may help to reduce rates of perinatal death in Vietnam.
Authors:
Jane E Hirst; Susan M Arbuckle; Trong M H Do; Lieu T T Ha; Heather E Jeffery
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  110     ISSN:  1879-3479     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-12     Completed Date:  2010-10-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  109-13     Citation Subset:  IM    
Copyright Information:
Crown Copyright 2010. Published by Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Obstetrics and Gynaecology, University of Sydney, Sydney, Australia. jhirst@med.usyd.edu.au
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced / statistics & numerical data*
Adolescent
Adult
Chorioamnionitis / epidemiology,  pathology
Cross-Sectional Studies
Female
Gestational Age
Hospitals, Maternity / statistics & numerical data
Humans
Incidence
Infant, Newborn
Infant, Small for Gestational Age
Male
Middle Aged
Pregnancy
Rural Population / statistics & numerical data
Stillbirth / epidemiology*
Urban Population
Vietnam / epidemiology
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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